Kelly G Burkenstock MD a Professional Medical Corporation
Kelly G Burkenstock MD a Professional Medical Corporation is an Internal Medicine Physician in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
2040 N Causeway BlvdMandeville, LA 70471-3116
Phone: (985) 727-7676
Fax: (985) 727-3476
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD.023319 (LA) |
|---|
Record details
| NPI number | 1639328578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Burkenstock — President · (985) 727-7676 |
| NPI enumerated | September 16, 2008 |
| Last updated in NPPES | July 19, 2022 |
| Certification date | May 26, 2021 |
| Mailing address | 2040 N Causeway Blvd, Mandeville, LA 70471-3116 |
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